Olga Zavialova Lucero, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

56473 Issued in NM

Practice address

801 Encino PL NE Ste D7
Albuquerque, NM 87102-2644

Phone

(505) 207-6526

Fax

(505) 212-1615

NPI assigned

Jul 29, 2019

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ribera HealthcareGroup PAC ID 3072844158, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21481/brand/1/csg/1/fhir/r4
• Direct secure messaging: olga.lucero.1@21481.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ribera Healthcare

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1639726920
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1326692336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ENCINO PL NE STE D7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022644",
            "telephone_number": "505-207-6526",
            "fax_number": "505-212-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ENCINO PL NE STE D7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022644",
            "telephone_number": "505-207-6526",
            "fax_number": "505-212-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "OLGA",
        "middle_name": "ZAVIALOVA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "56473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lucero
• Michelle Renee Lucero, PA-C
• Miriam Lucero, PHARMD
• Natasha Victoria Lucero, LMSW
• Nicole Danielle Lucero, FNP-C
• Orlando Lucero, RRT, MPH
• Pauline Lucero
• Robert Thomas Lucero, DDS
• Samantha Lucero
• Sara Katelynn Lucero, RN, MSN, ACNPC-AG

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.